CAU Eligibility Specialist
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nCAU Eligibility Specialist
nSalary
nDepends on Qualifications
nLocation
nBaton Rouge, LA
nJob Type
nUnclassified
nJob Number
nR-001795
nDepartment
nUniversity of New Orleans
nOpening Date
n08/01/2025
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Description
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Benefits
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Job Duties and Other Information
nPlease click HERE ( to apply.
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Timely complete appeal actions to re-open and/or close cases in accordance with appeal status. Take precautions to not re-notice appellants when taking these actions.
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Process CAU reversals which will include clearing issues and discrepancies in LaMEDS to assist with the processing of applications and renewals.
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Review data systems to determine what action needs to be performed. Maintain controls to ensure reversals are completed within required deadlines.
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Document eligibility research electronically in the required Medicaid system applications.
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Prepare eligibility decision notices by inputting required data into the corresponding Medicaid application systems, as necessary.
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Maintain knowledge of Medicaid policies and procedures and ensure that any new changes, updates or clearances are applied accordingly.
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Maintain knowledge and usage of all verification systems the agency has access to.
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Interpret and apply complex federal, state, and agency policy. Employ rudimentary knowledge and terminology of legal, medical and business areas, including real estate and insurance.
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Trend and analyze appeals data both regionally and statewide. Develop and produce reporting based on appeals data to influence training needs and decision making.
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Attend and participate in required meetings and trainings.
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Other tasks as directed.
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QUALIFICATIONS
nREQUIRED:
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Bachelor’s degree or 6 years of professional experience in lieu of degree.
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2 years of professional experience determining Medicaid eligibility.
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Current working knowledge of the LaMEDS system.
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Excellent analytical skills, effective organizational and time management skills.
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Great attention to detail and follow up.
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Excellent verbal and written communication skills.
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DESIRED:
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Advanced degree.
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Minimum 4 years of professional experience in determining Medicaid eligibility.
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Minimum 2 years of professional experience working with Medicaid appeals process.
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Advanced knowledge of the LaMEDS system.
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Experience with data analysis and research.
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Benefits for unclassified employees are determined by the individual hiring authority.
nEmployer
nState of Louisiana
nAddress
nFor agency contact information, please refer to
nthe supplemental information above.
nLouisiana State Civil Service, Louisiana, 70802
nPhone
n(866) 783-5462
nWebsite
n nPlease verify your email addressVerify Email